Laveen Medical Pavillion

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAVEEN MEDICAL PAVILLION

Practice address

3340 W Southern Ave
Phoenix, AZ 85041-4308

Phone

(602) 252-1775

Fax

(602) 252-1371

NPI assigned

May 5, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Velda Olayinka

Title

Owner

Phone

(602) 252-1775

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1275851990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 W SOUTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414308",
            "telephone_number": "602-252-1775",
            "fax_number": "602-252-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 W SOUTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414308",
            "telephone_number": "602-252-1775",
            "fax_number": "602-252-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVEEN MEDICAL PAVILLION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "OLAYINKA",
        "authorized_official_first_name": "VELDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-252-1775"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lautar, NP
• Mary Elizabeth Lavalley, CPNP
• Jackie Kay Lave', MSN, APRN
• Laveen Behavioral Health LLC
• Laveen Lasik
• Laveen Sunsets Residential Homes LLC
• Jessica Adel Lavelle
• Laven Elementary School District
• Paul S Laven, DO
• Lavender Hospice LLC

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.